Clear, flowing oil supports a more stable tear film.
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Dry eye treatment
Dry eye is a clue, not a conclusion.
Burning, grittiness, redness, watering, blurry vision, and contact lens discomfort can have more than one cause. A focused evaluation helps identify what is disrupting your tear film.
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Dry eye can have more than one cause. Your exam looks at the tear film, eyelids, glands, and eye surface before treatment is recommended.
The tear-film difference
Healthy oil flow helps tears stay where they belong.
Meibomian glands line the eyelids and release the oil layer of your tears. When that oil flows well, tears evaporate more slowly. When glands become blocked, tears can break apart too quickly—leaving eyes dry, irritated, and inconsistent.
Thickened or obstructed oil can contribute to rapid evaporation.
Meibography
See what symptoms cannot show on their own.
Meibography is only one piece of the evaluation. We also assess tear-film stability, gland function and expressibility, oil quality, eyelid changes, inflammation, and the ocular surface to understand what is driving your symptoms.
A closer look
Signs we look for during a dry eye evaluation.
Lid margin telangiectasia
Dilated blood vessels can be a visible sign of chronic eyelid inflammation.
Ocular surface staining
Staining helps reveal areas where the ocular surface is stressed or damaged.
This clinical reference shows how gland structure can range from no significant change to gland drop out.
Your treatment options
One condition. More than one way to support it.
Home care
Targeted routines, lid hygiene, tear support, and environmental changes may help protect the ocular surface between visits.
Medical therapy
Prescription treatments may be considered when your evaluation points to inflammation or another underlying contributor.
Specialty lenses
For more severe ocular-surface disease, scleral lenses can create a protective reservoir of preservative-free fluid over the cornea. Because we specialize in advanced scleral lens fitting, this option can be incorporated when traditional dry-eye treatment alone is not enough.
In-office procedures
When appropriate, thermal RF or IPL may be incorporated into a clinician-led plan for gland dysfunction or inflammatory signs.
A four-step pathway
Evaluate. Treat. Reassess. Adjust.
Evaluate
Identify the pattern behind your symptoms.
Treat
Build the right combination of options.
Reassess
Track comfort, vision, and eye-health findings.
Adjust
Refine the plan as your eyes respond.
Frequently asked questions
Why might one treatment work better than another?
Dry eye can involve tear production, gland function, inflammation, eyelid health, medications, screen use, prior surgery, and more. Your evaluation helps identify the contributors that matter most for you.
Can dry eyes be related to LASIK or an autoimmune condition?
Yes. Dry-eye symptoms can occur after eye surgery such as LASIK and alongside certain autoimmune conditions. Tell the team about your surgical and health history so it can inform your evaluation.
Can scleral lenses help dry eye?
For appropriate patients, a scleral lens can hold a fluid reservoir over the cornea and may support comfort. Your evaluation determines whether it fits your needs.
Do I have to understand every cause before booking?
No. Tell us what you feel and when it happens; we will evaluate the likely contributors.
Advanced treatment
When advanced treatment may help.
Some evaluations point to Envision by InMode as an appropriate next step for gland dysfunction and eyelid inflammation. It is one option within a complete, individualized dry-eye care plan.
Explore Envision Dry Eye Treatment